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(CONFIDENTIAL REPORT)

ASSESMENT SHEET FOR CONFIRMATION/REGULARISATION OF EMPLOYEES

PART – A
1. Name of the Employee :

2. Designation :

3. Department :

4. Date of Appointment in the present post:

5. Due date of Confirmation :

6. Reporting To :

7. Job Responsibilities in Brief :

Please assess the employees in the 1 – 5 rating scale

Sl. Parameter Rating Remarks

1 Integrity
2 Loyalty to the Organization
3 Sincerity
4 Adaptability for Change
5 Devotion to Duty
6 Cost Conscious
7 Punctuality
8 Team Work
9 System Orientation
10 Innovation & Creativity
Total Score

Please ( √ ) tick appropriate column based on his overall performance

Poor Average Good Very Good Out Standing

(Below 30) (30 – 34) (35 – 39) (40 – 45) (Above 45)
Below 30
8. Overall Observation:

Training :

(Signature of Reporting Officer)

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PART – B

REMARKS OF REVIEWING OFFICER

1. I Agree / Do not Agree :

2. If do not agree, reasons in brief :

3. Remark :

Date : Signature
Name :
Designation :

PART – C

TO BE COMPLETED BY HR / PERSONNEL DEPARTMENT

1. Services of Mr./ Mrs.: Designation: may be confirmed

2. Probation period of Mr. / Mrs. Designation: is:

extended for 3 months / 6 months / 1 year:

3. Services of Mr. / Mrs. Regularized: Designation: is:

4. Services of Mr. / Mrs.: Designation: is terminated

Date : (Signature of HR Executive) (Signature of HOD - HR)